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Jun 06 11 02,31p Waehington Weter Healers 8663757454 <br />� ( <br />�-- -- <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVI�ES <br />3200 CEDAR STREET, EVEREI?, Wp 98201 <br />425-257-8810 — FFJC 425-257-8857 — www.everettwa.org <br />S�TE ADORESS <br />� f C; %�E' �fyl' <br />LE(iA LOT NO. <br />DFSC. <br />ow� <br />°(! �'z; I ��� IC�;`[. <br />TENANTNAME <br />t.UflS �NCnTOn <br />CONTR/.�L�IC/{ENS_ E / _ <br />—lJYL' SK IT'� <br />USE OF BUILDIN6 <br />�"(�IC�t.n <br />WORK DESCRIPIION <br />APPLICATIONS ARE ACC6PTlO FROM 8 AM TO 1 PY <br />��i <br />BLOCK <br />6t1�F./I- <br />�� �� 1 C� � <br />PARCEL TAX LD, i <br />, � � n_ o.� <br />TqACTOR SUBDIVISION! <br />ADD <br />� %%C���.�.i/� I7�L�(� <br />�ACTppy�RPERYR� <br />C.0 YJlML�L�S <br />� /� . ca0. <br />p.1 <br />I PERMITy <br />—l�St� x -���?� <br />PMON l.(: : ' <br />�il;�c.� �> :. �z �� c <br />P�+«+� dd- 7 � S' <br />e.MaJ�ofi�a�evyyau �y <br />�AaR� <br />Vuc l.�a �'r�a5 <br />MEATSOURCE <br />� EbUric _ Oas _ OlAer <br />CONTAACT PRICE OF WORK <br />� �l1 `i <br />� <br />�} Z,��' I C' I,� C f �--�,2. L.,t ��; J�' c- ��� i- << �f ?: �� <br />NO. I TYVE OF Fl)(TURE OII REM <br />Toilat <br />Bt "ub <br />Lavatory (wash basin) <br />Shower <br />Kitchan sir�k 6 disposal <br />Dishwasher <br />Clothes washer <br />Weter heeler <br />Stnk (sarvice/bar/moplelc.) <br />Beckflow preventer <br />Urinal <br />Odnkinp Fountaln <br />Floor drein <br />Greaso irap <br />Rool dreins <br />OU�er _ <br />N�- I TYPE OF F�ITURE ON ITEM <br />11lC — air hendling unih <br />Forced elr syntems <br />Ras pipinp <br />Wflter heater <br />Gas liroplace <br />(ias renge <br />Clathea dryer <br />Renpehood <br />Fahaust fen <br />Heat pump <br />Unh heater <br />BOAer <br />RulriperaHon <br />Woakiave <br />Utl�er <br />CRY OR EVEREiT LOCAL BALEB TA)C COOE 19 �IOS <br />I hereby ceritlly the[ I havo iead end examined thle applicallon end know the snme to be hue end cortact. FUI provislons ol laws cnd <br />ordinaces governinp Ihls ype of work will be compYod with whether specitled hereln or not. The prantinp ot a permit dooe not proaume <br />to pivo authorfry lo vblaW n� cancel the provleim ol arry other etate a local law rcpulaUnp eonsiruction or the poAormmee of <br />consirudion. That 1I awm authoiized by the ow I lhis propeM �o paAorm ihe vrork for whk.h epppcetlan fa maae arM 1 compry with the <br />&tato'�n� /� (l / l.�l � I /(�i�� �� I.Z�WAC. �y� /� <br />